Provider First Line Business Practice Location Address:
315 S MLK WAY
Provider Second Line Business Practice Location Address:
TACOMA GENERAL HOSPITAL MB 2-RX
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98405
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-403-2403
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/04/2007